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Consecutive Strabismus

Correspondence: Requests for reprints should be addressed to: Paula M. Edelman, C.O., Division of Opthalmology #88, Children’s Hospital Los Angeles, 4650 Sunset Blvd., Los Angeles, CA 90027.

Many strabismus surgeons recommend an initial over-correction of certain types of strabismus, intermittent exotropia in particular. Controversy does, however, exist as to whether this intentional over-correction provides superior motor and sensory results in young children. In this presentation, the author describes the sequelae of consecutive strabismus including diplopia, the development of amblyopia, and the loss of single binocular vision. Nonsurgical treatment of consecutive strabismus consisting of the use of patching, prisms, and the manipulation of the optical correction is explored.

Key words: consecutive strabismus, amblyopia, diplopia, esotropia, exotropia